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] Keller Canyon - ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Laricfll Sanitary Landfill Sanitary Landfill Landfill : 13 <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road 11 t ! <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650) 726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> F--•(925)458-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209) 982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NEnRATOR 11� WASTE ACCEPTANCE NO. <br /> 1 Q1a1A1V \JLW 4X,, 1i1V41S.i4 <br /> ULING ADDRESS r5nrl II <br /> 77 Beale Street iV1A Cade B24A <br /> rY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> IONS apt S F �11zcn f A 949_?fi <br /> O GLOVES O GOGGLES O RESPIRATOR O HARD HAT 09 I <br /> (415) 973-3773 O TY-VEK O OTHER k l <br /> i <br /> )NT CT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> Robert(iM <br /> I <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE I <br /> i At t'txnized P.gur for <br /> Pack Gus&Elect= i <br /> None <br /> ENERATOR'S CERTIFICATION:1 hereby certify that the above named material is not a hazardous <br /> iste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> mcribed,classified and packaged,and is in proper condition for transportation a'rording to applicable <br /> gulations;AND,If the waste Is a treatment residue of a previously restricted hazardous waste I <br /> ibject to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> x"dance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 1 CFR Part261. <br /> %STE TYPE: <br /> JaIDISPOSAL O SLUDGE <br /> O CONSTRUCTION ❑WOOD <br /> O DEBRIS O OTHER i <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> irritant DchydraLor Thurnt(ni <br /> IAN—.-ORTER NOTES: v ICLE LICENSE NUMBER TRUCK NUMBER ! <br /> 0erffleste Y'a>nsp9 ort 7 r� <br /> (DRESS u �V <br /> _A I I Ilen Km feI <br /> FY,STATE,ZIP <br /> iWindsor, CA 95492 <br /> IONE END DLIMP BOTTOM DUMP TRANSFER I iEl�6 <br /> (707)R38-1407 ❑ L) i <br /> 3NATURE -0 OF AUTHORIZED AGENT OR DRIVER DATE ROLLF(S) FLAT-BED VAN DRUMS <br /> r�Ij' J• <br /> t <br /> ! <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoin <br /> is true and accurate. g DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER 16 <br /> tt'i <br /> .MARKS O SOIL I ^+ <br /> O CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> 3NATURE OF AUTHORIZED AGENT DATE <br /> O WOOD <br /> O ASH <br /> O SPECIAL OTHER <br /> ilUUNG MUST BE MADE PRIORTO 3:00 P:M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT !� I <br /> OUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST 1I 3 4 2 0 n-i i, <br />